Individual
WENDY MICHELE FARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1151 N ADAIR ST, CORNELIUS, OR 97113-8900
(503) 359-5564
Mailing address
1151 N ADAIR ST, CORNELIUS, OR 97113-8900
(503) 359-5564
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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